How To Deal With Nausea And Vomiting ?

Nausea and Vomiting – are among the most common medical complaints. Although symptoms are restricted to the digestive system, they may also be the result of a malfunction in other organs.

  • Nausea – defined as a physical expression of the need for vomiting centered in the throat, or upper abdomen.
  • Vomiting – defined as a specific physical event of rapid and strong emptying of stomach content.
  • Retching – This is the recurring abdominal muscles that cause the stomach content to empty.
  • Regurgitation (Regurgitation) – food is rising from the stomach the amount and frequency of possible outcomes, and thrown out of the mouth.
  • Rumination (Rumination) – food is tossed repeatedly from the stomach to the mouth, without effort, chew again and swallow again. This phenomenon begins several minutes after eating and continues until the taste of food changes and becomes unpleasant.

Vomiting states

Vomiting is distinguished in different cases:
  • Serious conditions, such as intestinal obstruction, pleuritis, or a hole in a member of the digestive system.
  • Cases requiring the patient to lie in a hospital for treatment as a result of severe vomiting that causes dehydration or an imbalance of salts in the blood.
  • Chronic conditions require a diagnosis in order to choose the appropriate treatment.

Causes and risk factors for nausea and vomiting

The causes of vomiting and nausea are numerous and vary. Including: 
  • Side effects of a specific treatment or certain medications being taken – chemotherapy for cancerous tumors, radiotherapy, pain relievers, heart medications, diuretics, hormones, antibiotics, medications for inflammatory bowel diseases, anti-asthma drugs, narcotic drugs, alcohol, nicotine.
  • Pollution diseases – acute gastroenteritis, middle ear infections.
  • Gastrointestinal diseases – bowel obstruction, Gastroparesis, peptic ulcer, acute inflammation of the gallbladder and pancreas, hepatitis (Hepatitis), Crohn’s disease (chronic inflammation of the intestine – Crohn’s disease) ischemia of the intestinal wall, Metastasis of the intestinal mucosa.
  • Central nervous system diseases – sister (migraine – Migraine), malignant disease (Malignancy), cerebral hemorrhage, meningitis (Meningitis), epilepsy (Epilepsy), mental illnessesinflammation of the middle ear and diseases of audio channels, motion sickness (motion sickness), Vomiting in travel – air or sea, emotional reaction, depression, anxiety, and abdominal pain.
  • Sister abdominis (Abdominal migraine) epilepsy or abdominal (Abdominal epilepsy) – is a rare syndrome characterized by nausea and vomiting league. This phenomenon is mainly common in girls at the age of five. The number of recurring seizures is about 8, on average, annually.
  • Myocardial infarction (Myocardial infarction) – vomiting relation to the size of the infarct, not located in the heart, as it was believed in the past (lower infarction).
  • Eating disorders – functional vomiting, mostly caused by psychological factors. Eating disorders may be caused by loss of appetite Nervosa (Anorexia nervosa), bulimia/bulimia (Bulimia), depression, interaction Alandziahi (Displacement reaction).
  • Metabolic diseases / endocrine therapy (Endocrinic / Metabolic) – Diabetes (Diabetes), overactive thyroid (Hyperthyroidism), Addison ‘s disease (Addison’s disease) {initial insufficiency Adrenal – Hypocortisolism}, renal failure (Renal failure).
  • Pregnancy.

Complications of nausea and vomiting

Dehydration is a real risk in most cases of vomiting.
The rapid development of drought depends on the size of the person, the frequency of vomiting and the presence or absence of diarrhea. That is, children who vomit with high frequency and have diarrhea are in great danger.

Signs of dehydration

  • Extreme thirst
  • Urinating in a prolonged period or urine staining in dark yellow.
  • Dry mouth or eyes, which are sunken.
  • Loss of natural skin softness. To determine this, the abdominal skin can be gently pinched using the five fingers. When the skin is left, the skin should return to its normal position and position immediately. When the skin does not immediately return to its previous position, this is an indication of dryness.

Diagnosis of nausea and vomiting

The symptoms that the patient complains of indicating the source of the disease.
In addition, there is a need to:
  • Full physical examination
  • A blood test designed to assess the degree of fluid loss, which helps in accurate diagnosis
  • Images of the stomach and digestive system
  • Endoscopy
  • Tests to assess stomach and small intestine movement, including:
  • Respiratory tests
  • Radioisotope scanning
  • Stomach Electrophysiology (EGG – Electrogastrography)
  • Enter – Duodendal Manometry.
In appropriate cases, the patient will undergo Computed Tomography – CT of the abdomen and/or the brain.
Bleeding (bloody vomiting or black vomiting) or acute abdominal pain – which in turn requires immediate medical treatment. Virtually every case of vomiting is accompanied by a feeling of somewhat discomfort in the abdomen. But acute pain is an abnormal situation.
There may be a relationship between head injuries and vomiting.

Headache and stiff neck, as well as vomiting – sometimes appear in meningitis. Accordingly, you should seek urgent medical advice. In children, extreme calmness and indifference may have a similar connotation.

Persistent nausea, without vomiting, is generally caused by some medications, sometimes by ulcers or cancer.

Treating nausea and vomiting

Mild vomiting can be treated without medical treatment.

Home therapy

Home therapy aims to get as much fluid into the body as possible while avoiding further disruption to the work of the abdomen.

Drink clear liquids, such as water and juices
  • If the factor causing the vomiting and nausea is: pregnancy, diabetes or certain medications, it is often sufficient to consult a doctor by phone, as a first stage, to determine the therapeutic course.

  • If nausea exceeds 4 weeks, see a doctor.

Treating nausea and vomiting aims to achieve several goals, including balancing deficiencies (a fluid deficiency, salts, food), discovering and trying to treat the cause of vomiting, treating nausea and vomiting as symptoms in cases where the real cause cannot be discovered.

Drug therapy

There are two main groups of medications – antiemetics and steroids.


  • Anticholinergic drugs – they are used for treatment limited by their many side effects and because of their low efficacy. Used for movement-related illnesses only.
  • Restricted drugs for histamine receptors – effective in migraine treatment, in particular, and in movement diseases that result from an action on the balance center of the inner ear. It has a central anti-emetic effect.
  • Phenothiazines (Phenothiazines) – materials with the properties of an anti-emetic. It works on different receptors in the brain. It is effective in treating migraines, mainly.
  • Butyrophenones – known as psychiatric treatment. 


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